WEBVTT

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Welcome to after the
paycheck, the series

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dedicated to helping people
to and through the retirement

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process I'm your host, Adam Lee.

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This week I am here
with Brian mastan,

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partner here at rabinow
Wealth Partners.

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Pleasure always to be
here with you, Adam.

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Always I like how we're
getting to a point

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where we can see each
other more often.

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I know it does feel
like things are slowly

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getting back to a little
more normalcy, right?

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Yeah, I was reading
an article that they

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were saying that this social
distancing in massacring

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might continue for a few
more years just because

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of variance and everything
that are going on.

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But I think just that
slight reprieve is like

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really what people need.

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Yes socialization, get out
of your house a little bit

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just to kind of get out of
the whatever routine

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you've been in for like a year now.

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Right I was still in
Virginia that, like Kristin

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and I have this we
got conjoining tests

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to make room because Daphne
has needs a little

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bit more area to play with her toy.

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So, like, I look at
this that are together next to

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each other with the
thought

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process that was
back in march, OK,

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we're going to do this for
like six, eight weeks maybe.

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Yeah now that it's a year of
us working next to each other. We're like,

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all right, maybe we're going
to need to get out.

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I'm going to go into
the office today.

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Kristin, I love you.

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But, yeah, sometimes
you just need

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to be able to get
out and socialize.

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But we are continuing
with our episodes here,

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following up with at
the end of last year,

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we sent out a little survey
to people I subscribe to

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after the Paycheck and we asked
their feedback and some topics

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that we should go
after this year in.

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A lot of people
responded with questions

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about health care
and retirement.

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Yeah, there's a lot of
confusion about the times

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when you retire.

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What does health care matter?

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What are my options?

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You know, when that happens,
what is it going to cost?

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Stuff like that. So

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I figured with today's
episode,

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we'd go over kind of
that journey like maybe

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some scenarios, that picture
and then just kind of play

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that out.

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Yeah and I like when I
sit down with people.

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And I think I'm a
very common question

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is, is a concern is about
health care and Medicare.

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And, you know, if you're on
time for 60 five, can you do it?

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What do you do for
health insurance.

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And if you are 65 and
retiring, what's the process?

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So that's a very common question
and concern we see a lot.

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Yeah, you would.

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You would.

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Well I guess not.

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You would think,
but I would imagine

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like if retirement and all
of these things about

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if I'm going to
have enough money to retire

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or maximizing my income sources
and everything like that,

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health care is not
something that also should

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be at the forefront, but it is.

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But as we can tell from
the responses that we got,

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that it really does become
a very important factor.

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It is because there's like
a level of financial risk

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if you're not insured properly,
just like anything else that

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can really severely jeopardize
your retirement if you

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don't plan for it or insure
insure for it in this case.

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Right Yeah.

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And a lot of people are aware
now that you can't get Medicare

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unless you're over 65.

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Right 65 or older,
65 or older, with

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other certain circumstances.

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For like disabilities
if you're younger. But yeah,

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for the most part,
65 are OK.

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And that may be something
we can touch upon,

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but let's kind of
go through that.

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So let's go over
options first for people

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who want to retire
before the age of 65,

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whether that be by choice
or more for medical reasons.

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And then what your
options are and then

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if that's available,
choice to you

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and if it's a viable
choice to you.

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Sure sure.

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So, like, you know, if you're
considering retiring before

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60 five, what you should
first the first thing you should

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do is contact or go to your
HR department at your company

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because they might offer
some level of insurance

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or continuance of the
insurance plan that you're in,

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you're in now.

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OK, so that would probably
be the ideal situation.

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If you get continued insurance
through your company,

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that would get you
to that 65 threshold

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and then that would stop
and Medicare and supplements

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might kick in.

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And then if that is not the
case under the COVID act,

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that if your company that
you're working for currently

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is 20 or more employees,
you can actually

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get COVID insurance,
which is a continuation

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of that same group,
health insurance that you

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were on with your employer.

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So that would just continue.

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The downside is
you're probably going

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to have an increase in what
your cost is because you

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have to cover both sides.

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Now, what you know that if
you project for that and plan

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for that might get
you to 65 depending

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when you retire
because that can go

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Cobra covers up to 18 months.

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OK, so nothing more than that.

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And then, you know,
the other option

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is just self-insured self
insuring through like a company

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and exploring different
options you don't like.

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The Blue Cross and Blue Cross
Blue Shield in Massachusetts

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are Transamerican.

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There's a lot of options.

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OK, we live in a
state in Massachusetts

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and if you are watching
in from Massachusetts

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that we have the MassHealth
connector, which is great, and we

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were the first state to actually have
a forum of health

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insurance plans, I think it
was in the mid to early 2000s.

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So if you go on the
MassHealth connector,

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you can actually exploit
all your different options

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for health care if
your before age 65.

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I wouldn't want to
see what's available.

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OK, so going.

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So we just ran over, like,
three things real quick, right?

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So there's that option
to potentially continue

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to be covered by your employer.

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Yeah so if I'm 62 and I
go to my employer and say,

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you know what, I've
had a good run here,

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but I think I have
enough to retire in

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about what is the likelihood
that my employer is going

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to be OK with still paying
their share of insurance

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for me to still be on it,
even though I'm retiring?

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Probably less likely.

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OK, if I mean, if
I had to guess,

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it depends on your
company and their benefits

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that they have in place.

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So I would say less
likely because it

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is that something I
should look into before I

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consider making that move.

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Any of these options,
you should make sure

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because there's a different
level of cost with each option.

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And if you're not
planning for that

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and you retire and
all of a sudden you're

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surprised with, oh, wow,
this is the health care

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cost we have to
pay, you might be

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paying 20 plus $1,000
for a family plan

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that you weren't projecting
for until you get to 65.

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Right which is a big,
big cost, obviously.

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So you want to make
sure you're exploring

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whatever option it is before
you actually decide to retire.

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And that's, that's
definitely for sure.

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OK, Yeah.

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And then you start you started
to then go into Cobra as that.

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If your employer doesn't
give you that option.

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Yeah as long as
you're working, you

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were working for that company. That

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again, is 20 or
more employees.

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The Cobra act states
that you are entitled

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to COVID insurance for
up to an 18 month period,

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which is a continuance
of that group health plan

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that you were on.

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But again, the
premiums or your cost

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might be going up because
now you're covering

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both sides or 100% of it.

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OK, so your cost
might be higher,

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but it might be a good option
if you have really good health

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insurance. Yeah,

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and and that probably is
only a good fit.

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If you're just over
63 and want to retire.

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Right to 18 months.

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So if you're even considering
retiring even before that,

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you might just want to look
into private health insurance

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options and weigh the different
options that are available

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based on what your needs are.

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If we'll probably get into
this, too, in a minute.

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But just kind of foreshadow
for Medicare, is that a life

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changing event?

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So I know like, you
know, now like as

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if someone who's working, I
only have certain enrollment

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periods to change my
health insurance options.

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Correct is the day I turn
65 one of those cases where

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I can enroll in
Medicare or is it

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like should I time like, oh, if
I'm going to be on COVID for 18

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months or I only have
18 months, should

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I make sure it falls within this
window of where the portal is

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open for me to get Medicare.

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So Medicare has a few different
actually enrollment periods.

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OK, OK, so the first is
so if you retire early

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and let's just say you took
social security benefits.

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Right and this is for Medicare.

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And b, if you are already
taking social security,

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you're actually automatically
enrolled into Medicare.

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You don't have to
actually do anything.

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Oh, they'll send you a packet
three months before you turn

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65 and say airline.

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Everything ok?

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So I don't have to go
online and like, OK,

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if you are collecting
social security, OK, OK.

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If you're not, then the
first enrollment period

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is actually the seven months
surrounding your birthday.

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OK, so three months prior,
the month of your birth

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date when you turn 65 and
then the three months passed.

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OK, so that is the
first enrollment period.

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Beyond that, the second
enrollment period

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would be actually
surrounding the

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when your coverage lapses
or ends on your group plan.

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OK, so that's actually
the eight months post

00:08:39.860 --> 00:08:42.600
that post that period
of like retirement.

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And when you're, you know,
your whatever private insurance

00:08:45.330 --> 00:08:49.202
would stop, would stop
at that point in time.

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And then the third
is actually just

00:08:50.660 --> 00:08:52.890
January to March of every year.

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So January 1 and March
31st, open enrollment period

00:08:56.100 --> 00:08:59.970
at that point, so there's a lot
of opportunities for you to get

00:08:59.970 --> 00:09:02.260
enrolled in Medicare when
it's that time there is.

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Yeah, there is.

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Yeah so there's just
making sure that it's

00:09:04.980 --> 00:09:07.140
not like one of those things
that it'll slip by your mind.

00:09:07.140 --> 00:09:08.550
I just realized
my license expired

00:09:08.550 --> 00:09:09.925
and like I just
never renewed it. Yes

00:09:09.925 --> 00:09:11.480
so everything going on.

00:09:11.480 --> 00:09:13.230
And I got an email
reminder like, hey, you

00:09:13.230 --> 00:09:14.147
haven't done this yet. So

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I was thinking with Medicare,
the same thing

00:09:16.320 --> 00:09:19.590
like, oh, if you forget, not
that well, you can't see that.

00:09:19.590 --> 00:09:22.230
The thing is like there's
a qualifying period

00:09:22.230 --> 00:09:26.250
for you can't just not
do it at 65 when you were

00:09:26.250 --> 00:09:28.410
supposed to have done it right.

00:09:28.410 --> 00:09:31.890
For if you have to have
a qualifying reason why

00:09:31.890 --> 00:09:34.080
you didn't actually
file for Medicare

00:09:34.080 --> 00:09:38.220
and be continued work or on
your spousal benefits or,

00:09:38.220 --> 00:09:39.430
you know, other insurance.

00:09:39.430 --> 00:09:41.838
Right and if you
don't, it's actually

00:09:41.838 --> 00:09:43.380
like one of the more
severe penalties

00:09:43.380 --> 00:09:46.290
the government enforces
if you actually

00:09:46.290 --> 00:09:48.220
do not enroll in Medicare.

00:09:48.220 --> 00:09:49.630
And what would some of those be?

00:09:49.630 --> 00:09:50.710
So it's.

00:09:50.710 --> 00:09:52.660
So the problem is it's forever.

00:09:52.660 --> 00:09:54.160
Right and this penalty.

00:09:54.160 --> 00:09:59.490
So it's 10% annually
for your premiums,

00:09:59.490 --> 00:10:02.640
but that that 10% penalty
that accrues each year.

00:10:02.640 --> 00:10:05.770
So it could be 20, 30%
every month, the premiums.

00:10:05.770 --> 00:10:10.010
But that lasts the rest of your
life if you forget to enroll.

00:10:10.010 --> 00:10:14.490
So that's a very important
thing in this case.

00:10:14.490 --> 00:10:16.638
And we'll come back into
again that Medicare costs

00:10:16.638 --> 00:10:17.680
and everything like that.

00:10:17.680 --> 00:10:19.380
And there's different
parts of Medicare.

00:10:19.380 --> 00:10:21.510
But to come back
into retiring early,

00:10:21.510 --> 00:10:22.825
we just went over Cobra

00:10:22.825 --> 00:10:24.450
again. The cost of that
and how that might not

00:10:24.450 --> 00:10:26.950
be a very viable option because
you got to cover both sides. Yeah

00:10:26.950 --> 00:10:29.880
what if my spouse was
still working,

00:10:29.880 --> 00:10:33.810
let's say, you know, my
wife or my significant other

00:10:33.810 --> 00:10:37.320
is going to work until for
another three or four years.

00:10:37.320 --> 00:10:38.650
Could I hop on their insurance?

00:10:38.650 --> 00:10:39.400
Is that an option?

00:10:39.400 --> 00:10:41.130
Yes, that's something I
forgot to mention, actually.

00:10:41.130 --> 00:10:41.800
So, Yeah.

00:10:41.800 --> 00:10:46.920
So let's say you are
63 and you're retiring,

00:10:46.920 --> 00:10:48.630
but your wife's going
to continue working

00:10:48.630 --> 00:10:50.730
and maybe she has a
group health insurance

00:10:50.730 --> 00:10:52.360
plan that's pretty beneficial.

00:10:52.360 --> 00:10:54.390
And you can actually
just jump on that

00:10:54.390 --> 00:10:57.840
and get those benefits that
would cover you until 65

00:10:57.840 --> 00:11:00.730
and then again, file for
Medicare at that point in time.

00:11:00.730 --> 00:11:01.450
OK, Yeah.

00:11:01.450 --> 00:11:05.190
Is so like at is
there a point where

00:11:05.190 --> 00:11:08.235
because it's a changing
factor for me, turning 65,

00:11:08.235 --> 00:11:10.110
does that affect her
health insurance or does

00:11:10.110 --> 00:11:13.890
she have to do anything
on her end at that point?

00:11:13.890 --> 00:11:16.590
When you would turn
65 like so let's say

00:11:16.590 --> 00:11:18.220
I hop on Kristin's
health insurance,

00:11:18.220 --> 00:11:21.780
yes, I am 65, then have to go
to her health insurance provider

00:11:21.780 --> 00:11:24.083
and say, hey, I'm 65, I'm
coming off now or doing more

00:11:24.083 --> 00:11:25.500
likely than not,
you probably have

00:11:25.500 --> 00:11:27.250
to go to Medicare at
that point in time.

00:11:27.250 --> 00:11:32.660
OK, in I mean, the cost
for her in the company

00:11:32.660 --> 00:11:34.410
would obviously go
from like a family plan

00:11:34.410 --> 00:11:35.650
down to that single individual.

00:11:35.650 --> 00:11:36.350
That's a big savings.

00:11:36.350 --> 00:11:37.017
Oh, yeah, right. So

00:11:37.017 --> 00:11:38.982
that's a big difference.

00:11:38.982 --> 00:11:41.190
And that's usually why they
would make you, you know,

00:11:41.190 --> 00:11:43.740
go towards that
Medicare version option.

00:11:43.740 --> 00:11:47.010
So, OK.

00:11:47.010 --> 00:11:48.130
OK, that's perfect.

00:11:48.130 --> 00:11:49.290
I'm trying to think,
like if there's

00:11:49.290 --> 00:11:51.873
a reason why I'd want to stay
on my spouse's insurance instead of Medicare.

00:11:52.740 --> 00:11:54.910
So each plan in company
is going to be different.

00:11:54.910 --> 00:11:57.240
They might allow you to.

00:11:57.240 --> 00:11:58.740
You know, it depends
on the benefits

00:11:58.740 --> 00:12:00.300
you're going to want
to weigh them sometimes

00:12:00.300 --> 00:12:01.350
it's actually a cost.

00:12:01.350 --> 00:12:03.840
You can have similar
benefits with Medicare

00:12:03.840 --> 00:12:05.590
and actually have
a cost savings.

00:12:05.590 --> 00:12:08.430
So even if you're like, so let's
say you're 67 and still working

00:12:08.430 --> 00:12:10.223
and have company
health insurance,

00:12:10.223 --> 00:12:12.390
you still want to look into
Medicare because you can

00:12:12.390 --> 00:12:13.840
have the same type of benefits.

00:12:13.840 --> 00:12:17.180
But it actually might be a cost
savings in certain situations.

00:12:17.180 --> 00:12:20.760
So it might be fiscally prudent
for you to actually look at.

00:12:20.760 --> 00:12:23.130
Exactly yeah, OK, that's right.

00:12:23.130 --> 00:12:26.310
That's a great
point you're making.

00:12:26.310 --> 00:12:28.650
And then the other
option is, again,

00:12:28.650 --> 00:12:30.870
if none of those
are available to me,

00:12:30.870 --> 00:12:32.653
if I can't hop on my
employers insurance,

00:12:32.653 --> 00:12:33.820
I can't help on my spouse's.

00:12:33.820 --> 00:12:37.770
I can't use Cobra because let's
say I'm 61 and I want to retire

00:12:37.770 --> 00:12:39.060
or I need to retire.

00:12:39.060 --> 00:12:41.370
My other option is what?

00:12:41.370 --> 00:12:44.500
Just browse and you can
browse the marketplace

00:12:44.500 --> 00:12:46.633
and ask health and the
MassHealth Connector.

00:12:46.633 --> 00:12:48.550
If you go there, you can
see what's available.

00:12:48.550 --> 00:12:52.783
You put in like what you're
looking for, your statistics.

00:12:52.783 --> 00:12:55.200
And you can see what types of
plans are available for you,

00:12:55.200 --> 00:12:57.780
whether it's a single
family plan, etc.,

00:12:57.780 --> 00:12:59.790
and the types of
benefits are there.

00:12:59.790 --> 00:13:02.370
Does the price affect based
on what my net worth is,

00:13:02.370 --> 00:13:05.160
let's say I have, you know,
half a million saved up

00:13:05.160 --> 00:13:08.070
for retirement, but a lot of
it's in 401(k)s versus or is

00:13:08.070 --> 00:13:10.930
an income based
health care provider.

00:13:10.930 --> 00:13:13.350
It's going to be
more income based.

00:13:13.350 --> 00:13:17.460
I guess the thing that
it can affect less,

00:13:17.460 --> 00:13:20.760
I think, on the private
insurance side and more

00:13:20.760 --> 00:13:22.840
about with Medicare
and premiums.

00:13:22.840 --> 00:13:24.450
And you can actually
have surcharges

00:13:24.450 --> 00:13:27.480
if you're on Medicare, if you're
making too much income, not

00:13:27.480 --> 00:13:28.510
necessarily net worth.

00:13:28.510 --> 00:13:30.540
But if you have too
much income, you

00:13:30.540 --> 00:13:32.500
could see a price increase
because of premiums.

00:13:32.500 --> 00:13:36.060
And when you're on Medicare,
OK, OK, that's good to know.

00:13:36.060 --> 00:13:38.657
So actually so actually, do
you want to get into that drug?

00:13:38.657 --> 00:13:40.240
We'll just move our
way into Medicare.

00:13:40.240 --> 00:13:41.970
So let's say now I'm
at the point where

00:13:41.970 --> 00:13:43.450
I'm eligible for Medicare.

00:13:43.450 --> 00:13:45.750
What you said, like
they send you a packet

00:13:45.750 --> 00:13:48.510
and they kind of, you
know, like, hey, it's time.

00:13:48.510 --> 00:13:51.580
Well, that's if you are
on social security, ok?

00:13:51.580 --> 00:13:52.080
All right.

00:13:52.080 --> 00:13:53.622
So they don't just
send you a packet. And

00:13:53.622 --> 00:13:55.930
just because you're
65, right.

00:13:55.930 --> 00:13:56.860
You're not like AARP.

00:13:56.860 --> 00:13:59.580
Exactly you have to be the one
that goes out and pursues this

00:13:59.580 --> 00:14:02.040
and looks at your
different options.

00:14:02.040 --> 00:14:05.790
So when you're
looking at enrolling

00:14:05.790 --> 00:14:08.730
in Medicare AAA and
b, those are the two

00:14:08.730 --> 00:14:11.880
like the two general ones
that you're required to.

00:14:11.880 --> 00:14:13.180
They don't cover everything.

00:14:13.180 --> 00:14:14.013
That's the downside.

00:14:14.013 --> 00:14:16.097
And that's why you hear
about all these, you know, the

00:14:16.097 --> 00:14:17.650
alphabet's of Medicare,
right?

00:14:17.650 --> 00:14:19.230
Abcde, right.

00:14:19.230 --> 00:14:24.450
Right so AAA and
B cover about 80%

00:14:24.450 --> 00:14:27.360
of potential medical
costs in your retirement.

00:14:27.360 --> 00:14:30.000
So you like using an
example, an extreme example,

00:14:30.000 --> 00:14:33.840
I guess, you know, if you
unfortunately came down

00:14:33.840 --> 00:14:36.510
with cancer or something
like that and you know,

00:14:36.510 --> 00:14:38.280
we know what the
costs potentially

00:14:38.280 --> 00:14:43.080
are of that hospital stay and
all the treatments, et cetera.

00:14:43.080 --> 00:14:46.950
You know, if there's
a cost of $100,000

00:14:46.950 --> 00:14:49.890
you actually might just if
you just subscribed to and b,

00:14:49.890 --> 00:14:53.230
you might be on the hook
for potentially $20,000.

00:14:53.230 --> 00:14:57.140
So 20% of potential medical
costs would just be OK.

00:14:57.140 --> 00:14:59.320
So that risk is unlimited.

00:14:59.320 --> 00:15:00.650
It can go to any amount.

00:15:00.650 --> 00:15:01.990
There's no cap on that.

00:15:01.990 --> 00:15:05.810
OK, so that's why when you're
exploring and you're in,

00:15:05.810 --> 00:15:07.860
you kind of if you're
overwhelmed with,

00:15:07.860 --> 00:15:11.040
like the process you hear
of like C and d, etc.,

00:15:11.040 --> 00:15:14.490
it's the way it's to
supplement what AAA and B are

00:15:14.490 --> 00:15:18.720
to make sure you cover
that gap of that 20%

00:15:18.720 --> 00:15:21.720
or enhance like
prescription coverage.

00:15:21.720 --> 00:15:23.670
That's going to be sort
of like prescriptions.

00:15:23.670 --> 00:15:26.940
What about like dental insurance
and other or eye vision.

00:15:26.940 --> 00:15:27.440
And Yeah.

00:15:27.440 --> 00:15:30.250
So this is where there's like
a lot of different options

00:15:30.250 --> 00:15:30.750
available.

00:15:30.750 --> 00:15:35.520
Right so there's C And
there's d, so Medicare,

00:15:35.520 --> 00:15:38.397
there's an the gap
that gap coverage.

00:15:38.397 --> 00:15:40.230
There's a difference
between there's Medigap

00:15:40.230 --> 00:15:42.390
and then there's
Medicare Advantage.

00:15:42.390 --> 00:15:44.550
OK, so those are the
two main options.

00:15:44.550 --> 00:15:46.740
And with Medicare
Medigap is when

00:15:46.740 --> 00:15:50.220
you would get part D that's
the prescription coverage.

00:15:50.220 --> 00:15:53.430
So Medigap has a
little more flexibility

00:15:53.430 --> 00:15:56.960
than Medicare Advantage in.

00:15:56.960 --> 00:16:01.250
It's more widely accepted,
there's a lot more,

00:16:01.250 --> 00:16:03.950
I'd say, pros and cons,
Medicare Advantage

00:16:03.950 --> 00:16:06.440
is kind of like a
boilerplate type plan

00:16:06.440 --> 00:16:09.450
where it has everything in one.

00:16:09.450 --> 00:16:14.420
If you wanted like one type
of health insurance coverage

00:16:14.420 --> 00:16:18.260
with some have dental
vision, gym memberships,

00:16:18.260 --> 00:16:20.000
things like that, OK.

00:16:20.000 --> 00:16:22.200
I think the main thing is
when you're in your 60s,

00:16:22.200 --> 00:16:23.900
if you have like a
good health care team

00:16:23.900 --> 00:16:25.890
already set up your
doctors and everything.

00:16:25.890 --> 00:16:28.755
Right you want to see what they
are, except they would accept

00:16:28.755 --> 00:16:31.130
in terms of insurance, that's
like the main thing I would

00:16:31.130 --> 00:16:31.630
say. You

00:16:31.630 --> 00:16:34.412
see what they'll get in terms
of health insurance

00:16:34.412 --> 00:16:35.870
and then you kind
of go from there,

00:16:35.870 --> 00:16:38.120
because I don't think you
want to make any big changes at

00:16:38.120 --> 00:16:39.090
that point in time.

00:16:39.090 --> 00:16:43.550
Right so are there let's say I
have pre-existing conditions.

00:16:43.550 --> 00:16:46.820
Does that affect my ability to
get certain types of Medicare

00:16:46.820 --> 00:16:52.097
so guaranteed coverage so you
don't have Medigap and Medicare

00:16:52.097 --> 00:16:53.180
Advantage once you get in?

00:16:53.180 --> 00:16:54.950
There's guaranteed
coverage going forward.

00:16:54.950 --> 00:16:59.660
You want to make sure that
you can't they cannot increase

00:16:59.660 --> 00:17:02.460
premiums based on what your
health is at that point.

00:17:02.460 --> 00:17:04.557
OK, but if I'm going
into it, let's

00:17:04.557 --> 00:17:06.140
say like I have a
skin condition right now

00:17:06.140 --> 00:17:08.390
and I'm 65, getting
ready to retire,

00:17:08.390 --> 00:17:11.060
my employer coverage ends.

00:17:11.060 --> 00:17:13.490
There's is there
technically a gap in between

00:17:13.490 --> 00:17:15.630
for going from one
provider to another?

00:17:15.630 --> 00:17:19.190
And could my Medicare could
they look at my history

00:17:19.190 --> 00:17:22.460
and say, like, oh, you have
to have this procedure done

00:17:22.460 --> 00:17:24.470
every year, we're going
to actually charge you

00:17:24.470 --> 00:17:25.609
more for premiums?

00:17:25.609 --> 00:17:28.580
No, but that would
OK, that would maybe

00:17:28.580 --> 00:17:31.330
potentially change what
insurance you want you want.

00:17:31.330 --> 00:17:33.770
Right so that's why when
like when you're away

00:17:33.770 --> 00:17:37.070
from retirement, you want
to or a year away from 65,

00:17:37.070 --> 00:17:39.530
you want to make sure ideally
you get that like I have

00:17:39.530 --> 00:17:43.010
a full physical done, you know,
see what sort of underlying

00:17:43.010 --> 00:17:44.690
issues you may have
to make sure you

00:17:44.690 --> 00:17:46.850
get the right type of
coverage going forward.

00:17:46.850 --> 00:17:50.330
OK, for set issues
because

00:17:50.330 --> 00:17:52.080
something could be
discovered at that point in time.

00:17:52.080 --> 00:17:54.038
And you really don't want
to skimp on insurance because the

00:17:54.038 --> 00:17:57.110
risk, the financial
risk

00:17:57.110 --> 00:18:01.910
is far greater than what the
cost of the premiums could be.

00:18:01.910 --> 00:18:03.120
Temporary or now?

00:18:03.120 --> 00:18:07.730
Yeah, I think that's a
very not hidden cost,

00:18:07.730 --> 00:18:10.498
but unexpected cost
in health care

00:18:10.498 --> 00:18:12.290
costs. Yeah, its health
care costs, long term care

00:18:12.290 --> 00:18:14.130
costs, those go kind
of go hand in hand

00:18:14.130 --> 00:18:17.840
and that's can again be
jeopardize your retirement

00:18:17.840 --> 00:18:19.317
picture pretty easily.

00:18:19.317 --> 00:18:20.900
You said something
a moment ago that I

00:18:20.900 --> 00:18:23.010
think is very important
to take away from this.

00:18:23.010 --> 00:18:27.440
It's planning ahead on
this kind of concept of,

00:18:27.440 --> 00:18:29.810
OK, I should probably
get a physical done

00:18:29.810 --> 00:18:32.890
or get some tests done while I
still have my employer's

00:18:32.890 --> 00:18:35.390
health insurance or whatever it
may be to see what those underlying

00:18:35.390 --> 00:18:36.470
causes are.

00:18:36.470 --> 00:18:39.890
So it helps me determine
what my best options are.

00:18:39.890 --> 00:18:42.440
What I'm looking at for
Medicare, medigap, Medicare

00:18:42.440 --> 00:18:46.280
Advantage a year out, you
get that physical done

00:18:46.280 --> 00:18:49.710
and then six months out
from being 65 a retirement.

00:18:49.710 --> 00:18:52.340
Then you start,
you know, you see

00:18:52.340 --> 00:18:55.910
what your doctor or your team
of doctors or health care

00:18:55.910 --> 00:18:58.550
physicians will
accept for insurance

00:18:58.550 --> 00:19:00.570
and then you start
weighing your options.

00:19:00.570 --> 00:19:04.010
After that, you can go on,
you know, again, Medicare.gov.

00:19:04.010 --> 00:19:06.050
You can start and then
you can do comparisons

00:19:06.050 --> 00:19:08.180
between the Medigap
and Medicare,

00:19:08.180 --> 00:19:12.170
Medicare Advantage plans for the
pros and cons and the benefits

00:19:12.170 --> 00:19:16.730
that they cover, the costs
associated with such a coup.

00:19:16.730 --> 00:19:19.920
And then and then the
MassHealth Connector.

00:19:19.920 --> 00:19:22.580
You can go on there as
well and see again what's

00:19:22.580 --> 00:19:24.265
available for coverage, too.

00:19:24.265 --> 00:19:26.390
So there's a lot and there
is a lot of useful tools

00:19:26.390 --> 00:19:28.473
out there just kind of
navigating your way through and

00:19:28.473 --> 00:19:31.550
trying not to be too overwhelmed
because there

00:19:31.550 --> 00:19:32.820
is a lot of options.

00:19:32.820 --> 00:19:33.480
It is, Yeah.

00:19:33.480 --> 00:19:35.955
Yeah like you said, I like
that paradox of choice.

00:19:35.955 --> 00:19:37.580
Like, there's so many
options out there

00:19:37.580 --> 00:19:39.810
that you can really it can
really make you hesitate.

00:19:39.810 --> 00:19:42.350
Yes freeze and not
make any choice.

00:19:42.350 --> 00:19:44.630
Exactly in the one
thing I will say

00:19:44.630 --> 00:19:49.372
is like the Medicaid GAAP
versus Medicare Advantage plans

00:19:49.372 --> 00:19:51.080
with medigap, it's a
little more flexible

00:19:51.080 --> 00:19:53.900
where you can
actually, you know,

00:19:53.900 --> 00:19:57.560
you can move from that
plan to if you decide

00:19:57.560 --> 00:20:01.250
you don't like the Medigap
coverage to Medicare

00:20:01.250 --> 00:20:02.760
Advantage in the future.

00:20:02.760 --> 00:20:05.330
Right where is it
going the other way

00:20:05.330 --> 00:20:06.450
for Medicare advantage?

00:20:06.450 --> 00:20:09.033
You only have a 12 month period
where you can make that change and then

00:20:09.033 --> 00:20:11.760
otherwise you can not.

00:20:11.760 --> 00:20:14.780
OK, OK, so or you can,
I should say, but then

00:20:14.780 --> 00:20:17.300
you have to prove insurability.

00:20:17.300 --> 00:20:21.650
Well, insurability for the
new sublearn insurance.

00:20:21.650 --> 00:20:24.080
OK, so say that,
repeat that again so I

00:20:24.080 --> 00:20:27.410
can go from Medigap to
Medicare Advantage to be.

00:20:27.410 --> 00:20:30.330
Yeah but if I'm on Medicare
and there's a little more Yeah.

00:20:30.330 --> 00:20:32.060
There's some more
hoops to kind of jump,

00:20:32.060 --> 00:20:33.750
to jump through, to go
back to something else.

00:20:33.750 --> 00:20:35.667
If I we talked about the
MassHealth connector, if

00:20:35.667 --> 00:20:38.660
I'm on Medicare and I don't
want Medigap or Medicare

00:20:38.660 --> 00:20:41.300
advantage, could I find a
private health insurance

00:20:41.300 --> 00:20:43.220
to supplement my.

00:20:43.220 --> 00:20:45.650
My whatever Medicare
doesn't cover,

00:20:45.650 --> 00:20:48.390
well, those are what the
Medigap in those days.

00:20:48.390 --> 00:20:52.370
Yeah so they can just keep going
back to Blue Cross blue shield,

00:20:52.370 --> 00:20:54.530
but like those, that
might be a company

00:20:54.530 --> 00:20:55.970
that offers that Medigap.

00:20:55.970 --> 00:20:57.700
Medigap OK.

00:20:57.700 --> 00:21:00.140
OK I was thinking a
Medicare Advantage,

00:21:00.140 --> 00:21:02.110
or Medigap or something.

00:21:02.110 --> 00:21:04.478
You know, that's just
the near to terms.

00:21:04.478 --> 00:21:06.770
Exactly but they're offered
by private health insurance

00:21:06.770 --> 00:21:07.270
companies. OK,

00:21:07.270 --> 00:21:11.840
OK, so there you are
held to a standard

00:21:11.840 --> 00:21:13.440
to offer best rates to.

00:21:13.440 --> 00:21:15.608
So it's not just
like you what

00:21:15.608 --> 00:21:17.150
you want to explore
the different options

00:21:17.150 --> 00:21:18.420
available with the
different companies.

00:21:18.420 --> 00:21:20.795
But there are they have to
offer you the best rates based on

00:21:20.795 --> 00:21:22.580
your age and statistics.

00:21:22.580 --> 00:21:23.520
OK, awesome.

00:21:23.520 --> 00:21:24.020
So, Yeah.

00:21:24.020 --> 00:21:27.590
So you don't have to worry about
like Blue Cross versus Athena

00:21:27.590 --> 00:21:28.290
versus.

00:21:28.290 --> 00:21:30.203
Yeah the benefits
may change though.

00:21:30.203 --> 00:21:30.870
You just got to.

00:21:30.870 --> 00:21:32.120
That's what you want to weigh. The

00:21:32.120 --> 00:21:33.830
comparisons aren't OK.

00:21:33.830 --> 00:21:36.060
Perfect and I can get a
lot of that at Medicare.

00:21:36.060 --> 00:21:37.200
Yeah all that.

00:21:37.200 --> 00:21:38.450
Yeah perfect.

00:21:38.450 --> 00:21:41.820
I think that's, that's all
I have written down here.

00:21:41.820 --> 00:21:44.360
Is there anything else
that I'm missing or people.

00:21:44.360 --> 00:21:45.120
I don't think so.

00:21:45.120 --> 00:21:47.420
I mean, we could
go into three hours

00:21:47.420 --> 00:21:50.203
about of conversation
about this.

00:21:50.203 --> 00:21:51.620
There's a lot of
different options

00:21:51.620 --> 00:21:53.128
that can be very overwhelming.

00:21:53.128 --> 00:21:55.420
But just make sure you kind
of like map everything out.

00:21:55.420 --> 00:21:57.890
And I think if you do
everything in stages

00:21:57.890 --> 00:22:00.560
so, you know, you don't
have to do it all at once,

00:22:00.560 --> 00:22:01.730
that's the easiest way.

00:22:01.730 --> 00:22:02.300
Right?

00:22:02.300 --> 00:22:05.990
like when you're 12 months out,
six months out from retirement

00:22:05.990 --> 00:22:08.210
or 65, that's like
the best process.

00:22:08.210 --> 00:22:13.520
So as this kind of curtails into
my overall retirement planning

00:22:13.520 --> 00:22:16.910
strategy, how does meeting
with a financial advisor

00:22:16.910 --> 00:22:19.160
play into my Medicare
coverage, aside

00:22:19.160 --> 00:22:20.540
from what we just talked about?

00:22:20.540 --> 00:22:23.030
You need to budget
aside x amount of money.

00:22:23.030 --> 00:22:24.840
I mean, there's
the budget aspect.

00:22:24.840 --> 00:22:29.280
There's the what's my
financial risk of you?

00:22:29.280 --> 00:22:30.690
Not under underinsurance.

00:22:30.690 --> 00:22:32.670
Right so you're going
to make sure like what?

00:22:32.670 --> 00:22:35.060
You're choosing the
right plan based on that.

00:22:35.060 --> 00:22:39.560
And like, if you're just
not as aware, like the pros

00:22:39.560 --> 00:22:42.320
and cons between the plans, you
can always have like someone

00:22:42.320 --> 00:22:44.110
have a second look
at it for you.

00:22:44.110 --> 00:22:45.750
Yeah second opinion on it.

00:22:45.750 --> 00:22:48.300
But, you know, with
the proper planning.

00:22:48.300 --> 00:22:50.870
Yet health care
could cost, you know,

00:22:50.870 --> 00:22:55.030
should cost for a married couple
in less than $10,000 a year.

00:22:55.030 --> 00:22:55.530
Went on.

00:22:55.530 --> 00:22:59.000
Medicare is more
like the suppliments,

00:22:59.000 --> 00:23:03.620
but the financial burden
could be so far greater

00:23:03.620 --> 00:23:07.950
if you don't make sure you
you're insured enough, I guess.

00:23:07.950 --> 00:23:10.130
Right to go back to
the beginning, what

00:23:10.130 --> 00:23:13.160
you said about the whole
like if medical care only

00:23:13.160 --> 00:23:18.160
covers that first 80 percent,
not that kind of scare people.

00:23:18.160 --> 00:23:20.480
Yeah, like, that's a big
thing, especially because I've

00:23:20.480 --> 00:23:21.720
seen hospital bills.

00:23:21.720 --> 00:23:23.570
Exactly and some
of those numbers,

00:23:23.570 --> 00:23:26.100
it's like you don't believe
that they're charging for that.

00:23:26.100 --> 00:23:28.280
But like they can
escalate pretty quickly

00:23:28.280 --> 00:23:31.200
with like a few days, stay in
a hospital for whatever reason.

00:23:31.200 --> 00:23:34.050
It might be like a
blood to other day.

00:23:34.050 --> 00:23:36.510
And they itemized the needle
that they use the prick,

00:23:36.510 --> 00:23:38.240
you know, it's like it's like.

00:23:38.240 --> 00:23:39.202
Oh, yeah, but Yeah.

00:23:39.202 --> 00:23:40.410
So I can definitely see that.

00:23:40.410 --> 00:23:42.202
Yeah you want to make
sure you come for it. Yeah because it's

00:23:42.202 --> 00:23:45.123
again the risk is
unlimited.

00:23:45.123 --> 00:23:47.040
Thank you for taking the
time to go over this.

00:23:47.040 --> 00:23:50.390
I know that the health care
options and everything are not

00:23:50.390 --> 00:23:54.470
really part of what we focus
on in the wealth management

00:23:54.470 --> 00:23:56.750
aspect, but it kind
of is in the long term

00:23:56.750 --> 00:23:59.400
overall umbrella of
retirement planning.

00:23:59.400 --> 00:24:02.270
So I appreciate the time to
actually go over and sit down

00:24:02.270 --> 00:24:03.153
and talk about this.

00:24:03.153 --> 00:24:04.320
And thank you for having me.

00:24:04.320 --> 00:24:05.990
And it's always a
pleasure to be here.

00:24:05.990 --> 00:24:07.010
Thank you.

00:24:07.010 --> 00:24:08.835
I like being here too.

00:24:08.835 --> 00:24:11.210
If you have any questions for
us at rabina willing Wealth

00:24:11.210 --> 00:24:12.627
Partners or have
something we want to

00:24:12.627 --> 00:24:15.230
talk about on a future episode
of after the paycheck,

00:24:15.230 --> 00:24:17.053
head over to after
the Paycheck dotcom

00:24:17.053 --> 00:24:19.220
and just fill out the form
at the bottom of the page

00:24:19.220 --> 00:24:21.670
until next time the.